Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06422585
Other study ID # PGBLOCK
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date February 1, 2024
Est. completion date February 2025

Study information

Verified date May 2024
Source Azienda Ospedaliero, Universitaria Pisana
Contact Serena Ricalzone, MD
Phone 050.997881
Email serenaricalzone@gmail.com
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

The goal of this observational study is to compare the equivalent analgesic efficacy of three regional anesthesia techniques in total knee replacement surgery. The main question it aims to answer is: • Non inferiority of each technique in relation to the others Participants will receive selective spinal anesthesia and the antalgic nerve block depending on the group they happen to be in. Researchers will compare the Femoral Nerve Group+IPACK block, the Saphenous Nerve block+IPACK and the Subsartorial Block groups to see if there is any difference in the pain control in the 24 hours after the surgery.


Description:

After adequate venous access is obtained, a light sedation with Midazolam 1-2 mg is administered. The patient will be monitored and a selective spinal anesthesia will be performed. After the neuraxial procedure the antalgic block of choice is performed with about 40 mL of long acting local anesthetic. Magnesium Solfate 1g and Dexametasone 4mg are administered after the block. If the patient wishes, a propofol continuos infusion may be administered for sedation during the surgery. Before the patient leaves the OR, Ketorolac 30mg will be administered. Pain control after surgery will be achieved with acetaminophen 1g t.i.d., Ketorolac 30mg on demand, and Morphine solfate if NRS >5 after Ketorolac. Every 6 hours the patient will be monitored by the anesthesia team. After 24 hours the antalgic effect of the nerve block is reasonably thought to be over, so the follow up is interrupted.


Recruitment information / eligibility

Status Recruiting
Enrollment 180
Est. completion date February 2025
Est. primary completion date February 2025
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Age > 18 y/o - Total knee replacement elective surgery - Informed consent Exclusion Criteria: - Age < 18 y/o - Surgery with general anesthesia - Patients with coagulopaties - Patients in chronic opioid therapy - Refuse to sign informed consent form - Unable to sign informed consent form - Know allergies to medication used for analgesia

Study Design


Related Conditions & MeSH terms


Locations

Country Name City State
Italy Edificio 3 - Azienda Ospedaliero Universitaria Pisana Cisanello Pisa Toscana

Sponsors (1)

Lead Sponsor Collaborator
Azienda Ospedaliero, Universitaria Pisana

Country where clinical trial is conducted

Italy, 

Outcome

Type Measure Description Time frame Safety issue
Primary NRS To compare the analgesic effect at 24 hours, of a nerve block technique compared to others after selective spinal anesthetic is administerd to achieve surgical anesthesia.Evaluate pain for every group in the first 24 hours post surgery using the Numeric Pain Scale (NRS) assigning a numeric value between zero (no pain) and ten (the worst pain ever felt). Absence of relevant pain is considered a NRS less than three.
Success of the block was defined as NRS=3.
Baseline, every 6 hours for the first 24 hours after surgery
Secondary side effect Monitoring the onset of side effects (nausea/vomiting/hypotension/dizziness/sensitive impareiment) in every group of patients in the first 24 hours every six hours 24 hours
See also
  Status Clinical Trial Phase
Recruiting NCT05458037 - RCT of Pain Perception With Fast and Slow Tenaculum Application N/A
Recruiting NCT05378581 - Use of Virtual Reality Mask During Blood and Skin Allergic Tests in 7 to 13 Children N/A
Not yet recruiting NCT05418114 - Lignocaine Only Versus Lignocaine Plus Magnesium Sulphate for Pain Relief After Episiotomy. Phase 4
Completed NCT04198064 - Pain Management for Cystoscopy: A Prospective Randomized Study Focused on Understanding the Role of the "Bag Squeeze" to Manage Pain for Patients Undergoing Cystoscopy N/A
Recruiting NCT05415865 - The Effect of Local Anesthetic Solution in the Bladder Prior to Botox Injections in the Bladder Phase 3
Completed NCT05374902 - Efficacy of Animation, Buzzy, and Multiple Interventions on Pain in Children N/A
Completed NCT04901611 - Parental Touch Trial (Petal) N/A
Completed NCT03768193 - Deep Serratus Anterior Plane Block vs Surgically-placed Paravertebral Block for VATS Surgery N/A
Recruiting NCT05267704 - Evaluating the Feasibility of VR for Pediatric Renal Biopsies N/A
Completed NCT04500158 - The Effect of Local Anesthesia on Control of Intraoperative Physiologic Parameters and Post Operative Comfort Phase 3
Recruiting NCT04718116 - Tapentadol Versus Tramadol Analgesia Post Cardiac Surgery N/A
Not yet recruiting NCT04610307 - EFFECT OF BUFFERED LOCAL ANESTHESIA ON PAIN IN ARETERIOVENOUS FISTULA N/A
Recruiting NCT06284473 - Ketamine as a Supplement to Local Anesthesia for Minor Procedures Phase 4
Completed NCT04203225 - Comparison of Two Application Techniques for LET Gel Phase 4
Not yet recruiting NCT06316934 - Lavender Aromatherapy to Decrease Anxiety/Pain Perception During Office Hysteroscopy Phase 2
Completed NCT05175924 - The Effect of Virtual Reality On Pain and Anxiety During Blood Draw in Children: A Randomized Controlled Study N/A
Completed NCT03004456 - Distraction for Reduction of Pain Associated With Venipuncture in the Pediatric Post-Transplant Population N/A
Completed NCT04762004 - Maternal Speech Decreases Pain Scores and Increases Oxytocin Levels in Preterm Infants During Painful Procedures N/A
Recruiting NCT05427903 - Two Approaches in Enhancing the Efficacy of Inferior Alveolar Nerve Block During Treatment of Mandibular First Permanent Molars With Symptomatic Irreversible Pulpitis N/A
Recruiting NCT05688670 - Regional Anesthesia Following Pediatric Cardiac Surgery Phase 4